HomeMy WebLinkAboutInstructors - Operations Recertiication Class - Plainfield - 3/10/2022FINANCE DEPT. STAFF ONLY
TRAVEL REQUEST
CITY OF WATERLOO
LINE ITEM USED
FY 2"/' BUDGETED
EXPENDED YTD
THIS REQUEST
LEFT AFTER THIS
REQUEST
DATE
Original - Clerk/Finance
010-12-1415-1345
6Ut. Gi'
01_25
g,7, (PA .5D
2 7-14 Z'Z- e ♦'?I
Co. - De.artment
NAME(S) AND POSITION(S):
Instructors
DATE:
February 21, 2022
NAME OF CLASS / MEETING:
Operations Recertification Class
DEPARTURE DATE: RETURN DATE:
March 10, 2022 March 10, 2022
PURPOSE OF TRAVEL/TRAINING:
To teach Operations Level Recertification Class for Northeast Iowa Response Group
DESTINATION: Plainfield, IA
DEPARTURE POINT
IF NOT WATERLOO:
DATE(S) OF MEETING:
March 10, 2022
WILL TRAVEL REQUIRE ADDITIONAL PERSONNEL:
X COST $
YES NO
METHOD OF TRAVEL:
CITY VEHICLE
AIRFARE
X PRIVATE VEHICLE
DEPARTING FROM:
ESTIMATE OF COST:
LODGING
MEALS
REGISTRATION
26.25 MILEAGE/FUEL
TOTAL FOR ALL: $ 26.25
TAXI
PARKING
AIRFARE
MISC/TOLLS
BUDGET LINE ITEM: 010-12-1415-1345
X GRANT REIMBURSABLE
YES NO
X REQUIRED CERTIFICATION
YES NO
TOTAL: $
PER PERSON
I BELIEVE THIS TRIP
AND IS NECE
CITY OF
DEPARTMENT HEAD
PUBLIC PURPOSE
FICIAL TO THE
DATE
K:\Shared Goodies\Forms\Travel Request Form January 2010
I APPROVE THIS TRAVEL REQUEST
)-1.it
MAYOR
/24 ZJe9 z-?
DATE